Preserving Access To Home Health Act Introduced In The House

The Preserving Access to Home Health Act of 2023 – which aims to block cuts to home health payments – has been introduced in the House of Representatives. In a significant step for the legislation, Reps. Terri Sewell (D-AL) and Adrian Smith (R-NE) introduced the bill in the House Tuesday. The bill was initially introduced […]

With Access To Care In Question, Number of Medicare-Certified Home Health Agencies Continues To Fall

The number of Medicare-certified home health agencies in the United States continues to dwindle, the latest data from the Medicare Payment Advisory Commission (MedPAC) reveals. While not a dramatic drop, the decrease in the home health provider ranks is important considering pending cuts from the U.S. Centers for Medicare & Medicaid Services (CMS). Advocates fear […]

‘All They Have Is A Hammer’: Home Health Payment Cuts Could Define Industry For Years

For most home health provider leaders, the Centers for Medicare & Medicaid Services’ (CMS) proposed rule was disappointing, but not surprising. Between now and the fall, they’ll be straddling a line. One foot will be in advocacy, doing whatever they can to keep these cuts from becoming finalized, whether that’s through persuasion, congressional action or […]

Home Health Providers Have ‘More Power Than They Did Yesterday’ In MA Plan Negotiations

It has become increasingly difficult for home health providers to ignore Medicare Advantage (MA) plans’ growing reach. Providers looking to thrive will need to learn to navigate this evolving reimbursement landscape. In 2023, MA plan enrollment surpassed traditional Medicare enrollment. There has been a growth of more than 10 million MA plan enrollees over the […]

Home Care Groups: Industry Needs More Time To Review ‘One Of The Most Impactful Proposed Rules’ In Medicaid HCBS History

Three major home-based care groups are asking the U.S. Centers for Medicare & Medicaid Services (CMS) for more time to review the agency’s recent Medicaid proposal, which features a handful of provisions that could prove challenging for operators. Among those provisions mandate thresholds on reimbursement, in which CMS would require that at least 80% of […]

Why MA Penetration’s State-By-State Variance Complicates Home Health Providers’ Outlook

Everyone in the home-based care world hears that Medicare Advantage is becoming the dominant payer. But that’s not always true in certain regions, states or counties. It’s just not always clear how starkly MA is being favored over fee-for-service Medicare. Over the next five years, more than half of Medicare beneficiaries are projected to be […]